The Egyptian Heart Journal最新文献_第10页

Neurodevelopmental evaluation and referral practices in children with congenital heart disease in central South Africa 南非中部先天性心脏病儿童的神经发育评估和转诊实践

The Egyptian Heart Journal Pub Date : 2019-12-19 DOI: 10.24170/16-4-3844

R. Smith, H. Nel, C. Marais, R. Kraaij, H. Roux, E. Scholtz, R. Steenkamp, T. V. Eeden, M. V. Wyk, C. V. Rooyen, S. Brown

{"title":"Neurodevelopmental evaluation and referral practices in children with congenital heart disease in central South Africa","authors":"R. Smith, H. Nel, C. Marais, R. Kraaij, H. Roux, E. Scholtz, R. Steenkamp, T. V. Eeden, M. V. Wyk, C. V. Rooyen, S. Brown","doi":"10.24170/16-4-3844","DOIUrl":"https://doi.org/10.24170/16-4-3844","url":null,"abstract":"Introduction: Children with congenital heart disease (CHD) are at higher risk for developmental delays than the general population. The American Heart Association (AHA) published a guideline to address these concerns in 2012. This study determined the neurodevelopmental evaluation and referral practices of practitioners in central South Africa. Method: An online survey was administered to practitioners (n=45) including paediatric cardiologists (n=4), cardiothoracic surgeons (n=4) and general paediatricians (n=37). Information on practitioner characteristics, awareness of the 2012 AHA guideline; and neurodevelopmental evaluation and referral practices was collected. Results: Twenty-one practitioners responded, including paediatric cardiologists (n=4), cardiothoracic surgeons (n=2) and paediatricians (n=15). Data for 20 practitioners was included. Despite most practitioners (n=18) indicating guidelines for the management of development were important, the majority (n=16; 80%) were unaware of the guideline. Most practitioners (n=18; 90%) failed to risk stratify children to identify those to be evaluated. Children with developmental delays were referred for formal developmental evaluation (n=11; 55%) and to intervention therapies (n= 15; 75%). Conclusion: Most practitioners are unaware of the 2012 AHA guideline. Awareness of the developmental risks associated with CHD and implementation of the guideline could promote early identification of developmental delays with referral to intervention therapies.","PeriodicalId":22462,"journal":{"name":"The Egyptian Heart Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78406476","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

ECG Quiz 56 Answer 心电图测试56答案

The Egyptian Heart Journal Pub Date : 2019-12-19 DOI: 10.24170/16-4-3846

A. Chin, R. Millar

引用次数: 0

Minimally invasive atrioventricular valve surgery – current status and future perspectives 微创房室瓣膜手术的现状和未来展望

The Egyptian Heart Journal Pub Date : 2019-12-19 DOI: 10.24170/16-4-3842

J. V. D. Merwe, F. Casselman, F. Praet

引用次数: 1

ECG Quiz 56 Question 心电图测验第56题

The Egyptian Heart Journal Pub Date : 2019-12-19 DOI: 10.24170/16-4-3845

A. Chin, R. Millar

引用次数: 0

A 12-week community-based physical activity and mindfulness intervention: health outcomes and markers of autonomic nervous system function (Sweet Hearts biokinetics pilot study) 为期12周的社区体育活动和正念干预:自主神经系统功能的健康结果和标志物(甜蜜之心生物动力学初步研究)

The Egyptian Heart Journal Pub Date : 2019-12-19 DOI: 10.24170/16-4-3841

R. Evans, D. J. Hume, M. H. Noorbhai, Nasief Van der Schyff, H. Rauch

{"title":"A 12-week community-based physical activity and mindfulness intervention: health outcomes and markers of autonomic nervous system function (Sweet Hearts biokinetics pilot study)","authors":"R. Evans, D. J. Hume, M. H. Noorbhai, Nasief Van der Schyff, H. Rauch","doi":"10.24170/16-4-3841","DOIUrl":"https://doi.org/10.24170/16-4-3841","url":null,"abstract":"The prevalence of non-communicable diseases (NCDs) has reached epidemic proportions in South Africa, coinciding with high levels of sedentary behaviour, urbanisation and stress. The nexus between stress, physical inactivity and non-communicable diseases may be regulated, in part, by changes in the autonomic nervous system (ANS). ANS function may be measured using a proxy of heart rate variability (HRV). Regular physical activity, controlled breathing and stress reduction have been shown to alter HRV. This paper presents preliminary data from a community-based biokinetics physical activity and mindfulness intervention (Sweet Hearts) on HRV. The study’s findings demonstrated favourable changes in measures of heart rate variability (HRV) – specifically in the low frequency (LF) spectrum that is associated with baroreflex function. The implications of these changes, in terms of health outcomes, along with efforts at addressing scalability and sustainability of community-based health promotion interventions may be important targets for future study.","PeriodicalId":22462,"journal":{"name":"The Egyptian Heart Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88812352","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Scorpion cardiotoxicity: cardiotoxic effects of Parabuthus, the South African scorpion 蝎子的心脏毒性:南非蝎的心脏毒性作用

The Egyptian Heart Journal Pub Date : 2019-12-19 DOI: 10.24170/16-4-3838

H. Solomons

引用次数: 0

The Cape Town declaration on access to cardiac surgery in the developing world; is it a true reflection of the needs of SSA? 关于在发展中国家获得心脏手术的开普敦宣言;这是SSA需求的真实反映吗?

The Egyptian Heart Journal Pub Date : 2019-12-19 DOI: 10.24170/16-4-3839

R. Kinsley, D. Reddy, C. Yankah

引用次数: 0

Congenital pulmonary vein stenosis at an African tertiary care centre over a 25-year period 先天性肺静脉狭窄在非洲三级保健中心超过25年期间

The Egyptian Heart Journal Pub Date : 2019-12-19 DOI: 10.24170/16-4-3843

M. Lebea, A. Cilliers, Hopewell N. Ntsinjana

{"title":"Congenital pulmonary vein stenosis at an African tertiary care centre over a 25-year period","authors":"M. Lebea, A. Cilliers, Hopewell N. Ntsinjana","doi":"10.24170/16-4-3843","DOIUrl":"https://doi.org/10.24170/16-4-3843","url":null,"abstract":"Background: Congenital pulmonary vein stenosis (PVS) is a rare condition, which results from abnormal embryological incorporation of the common pulmonary vein into the left atrium. Methods: A retrospective descriptive case series study was conducted with the aim of describing the characteristics and outcome of children with congenital PVS at an African tertiary care centre over a 25-year period. A computerised paediatric cardiology database initiated in the early 1990s was sourced to identify patients, following which clinical records were retrieved and reviewed. Results: Five cases of congenital PVS were identified between January 1990 and January 2016 and accounted for 0.0007% of all congenital heart defects seen at the centre during the study period. The age at diagnosis ranged from 22 months - 13 years. Most patients presented with respiratory symptoms, with 2 patients presenting with recurrent haemoptysis. The diagnosis of PVS was confirmed by cardiac catheterisation and pulmonary angiography in all patients. All cases were right-sided unilateral PVS and all were associated with one or more congenital heart defects. Mild pulmonary hypertension and elevated capillary wedge pressures were found in all patients. Only one patient underwent specific surgery to relieve the PVS, which subsequently recurred. Another patient underwent a lobectomy following recurrent haemoptysis, but subsequently died of sepsis. Conclusion: Congenital PVS is a rare condition often associated with other congenital cardiac defects. Respiratory symptoms are common at presentation, with haemoptysis forming part of the presenting clinical spectrum, which is in keeping with the published literature. Elevated pulmonary artery pressures and increased ipsilateral pulmonary capillary wedge pressures are a common finding at catheterisation.","PeriodicalId":22462,"journal":{"name":"The Egyptian Heart Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81770114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

My year as President of SA Heart 这是我担任南安会会长的一年

The Egyptian Heart Journal Pub Date : 2019-12-19 DOI: 10.24170/16-4-3837

D. Jankelow

引用次数: 0

Clinical characteristics and in-hospital outcome of heart failure in women: a single center registry from Egyptian cardiac care unit 妇女心力衰竭的临床特征和住院结果:来自埃及心脏护理单位的单中心登记

The Egyptian Heart Journal Pub Date : 2019-12-01 DOI: 10.1186/s43044-019-0032-0

H. Badran, Marwa Ahmed Elgharably, N. Faheem

引用次数: 9